Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WHITE RIVER HEALTH SYSTEM INC.
Active
Organization
WHITE RIVER HEALTH SYSTEM INC.
Active
Other names
North Complex Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEN POOLE (CLINIC DIRECTOR)
(870) 257-6066
Entity
Organization
Contact information
Practice address
195 HOSPITAL DR, SUITE C, CHEROKEE VILLAGE, AR 72529-7314
(870) 257-6040
(870) 257-7667
Mailing address
195 HOSPITAL DR, SUITE C, CHEROKEE VILLAGE, AR 72529-7314
(870) 257-6040
(870) 257-7667
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196629710
—
AR
Enumeration date
05/04/2011
Last updated
07/22/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up